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1588698013
LISA MARIE WETHERHOLD
PHILADELPHIA, PA
NPI
1588698013
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: PA MA052648)
Enumeration Date
2006-07-10
Last Update Date
2019-03-26
Business Address
Mrs. LISA MARIE WETHERHOLD PA-C
333 COTTMAN AVE
PHILADELPHIA, PA 19111-2434
Phone number: 215-728-6900
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Mailing Address
Mrs. LISA MARIE WETHERHOLD PA-C
2450 W HUNTING PARK AVE
PHILADELPHIA, PA 19129-1302
Phone number: 215-728-6900
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